Is it serious if a breast nodule is classified as grade 3 and lymph nodes are detected under the armpit?

Nov 15, 2023 Source: Cainiu Health
Dr. Qi Liqiang
Introduction
In general, the severity of a BI-RADS category 3 breast nodule with axillary lymph nodes detected by ultrasound needs to be determined based on specific circumstances. If the category 3 breast nodule is malignant, it is usually considered serious; if it is benign, it may not be severe. Patients experiencing discomfort symptoms should promptly seek medical attention at a hospital to avoid delaying diagnosis and treatment.

In general, whether a BI-RADS category 3 breast nodule with axillary lymph nodes detected is serious depends on the specific circumstances. If the category 3 breast nodule is malignant, it is usually considered serious; if it is benign, it may not be serious. The detailed analysis is as follows:

1. Serious

A BI-RADS category 3 breast nodule typically refers to an assessment of the likelihood of malignancy based on ultrasound imaging, categorized into levels one, two, and three. A category 3 nodule indicates some abnormal structures around the lesion or calcifications within it, suggesting a possibility of malignancy. The detection of axillary lymph nodes may indicate lymph node metastasis, which is a characteristic of malignant tumors. Therefore, this situation is generally considered serious and requires prompt medical evaluation, further diagnostic tests, and appropriate treatment.

2. Not serious

A BI-RADS category 3 breast nodule with detectable axillary lymph nodes may still be benign. Benign nodules typically do not metastasize or cause lymph node enlargement. Therefore, if the nodule is confirmed to be benign and there are no other symptoms, the condition is usually not serious. Regular breast ultrasound examinations can be performed to monitor any changes in the nodule over time.

If a patient experiences any discomfort or symptoms, it is recommended to seek medical attention promptly to avoid delays in diagnosis and treatment.

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